NPI | 1841864824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3298) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1036688) |
Enumeration Date | 2021-05-14 |
Last Update Date | 2021-12-09 |